| NPI | 1508037227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESE IRENE HUBER President 770-781-2376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: GA AUD003591) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: GA AUD003591) |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: GA AUD003591) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: GA AUD003591) | |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2013-04-04 |